| NPI | 1306959655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN PEYTON DIEHL President/Dentist 704-545-8831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 5006) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 3667) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |